Medical Park Pharmacy Of Great Bend Pa
LBN: Medical Park Pharmacy Of Great Bend Pa
Medical Park Pharmacy Of Great Bend Pa is an health care organization with primary practice located at 1309 Polk , Great Bend KS 67530-3644. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Medical Park Pharmacy Of Great Bend Pa can be contacted via phone (620) 792-1221, or through Regier, Kevin Lavern via phone (620) 792-1221.
Contact Information
Primary practice address
1309 Polk
Great Bend KS 67530-3644
Phone: (620) 792-1221
Fax: (620) 792-6413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1861564437 |
|---|---|
| LBN Legal business name | Medical Park Pharmacy Of Great Bend Pa |
| DBA Doing business as | |
| Authorized official | Regier, Kevin Lavern RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Feb 20th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861564437 | NPPES |
| Kansas | MEDICAID | 100444470A | |
| Kansas | MEDICAID | 100444470B |
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